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1669301354
MIDELSON LOUIS
PORT ST LUCIE, FL
NPI
1669301354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-26-533566)
Enumeration Date
2026-05-18
Last Update Date
2026-05-18
Business Address
MIDELSON LOUIS
566 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984-5108
Phone number: 772-202-0173
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Mailing Address
MIDELSON LOUIS
375 NW MARION AVE
PORT ST LUCIE, FL 34983-1646
Phone number: 772-265-5523
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